Healthcare Provider Details

I. General information

NPI: 1902805161
Provider Name (Legal Business Name): QUALITY HOSPICE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 BYRD AVE S
PHILADELPHIA MS
39350-2516
US

IV. Provider business mailing address

340 BYRD AVE S
PHILADELPHIA MS
39350-2516
US

V. Phone/Fax

Practice location:
  • Phone: 601-656-5252
  • Fax: 601-656-5253
Mailing address:
  • Phone: 601-656-5252
  • Fax: 601-656-5253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number086
License Number StateMS

VIII. Authorized Official

Name: MRS. JOANN T. ROUNSAVILLE
Title or Position: PRESIDENT
Credential: LBSW
Phone: 601-656-5252